Also called: Health Insurance Claims Examiner, Claims Processor (Medical)
Reviews medical insurance claims to decide what gets paid.
Checks codes on hospital bills against policy rules, flags a claim that looks like duplicate billing, and resolves appeals from doctors' offices.
Estimate.
Approximate: anchored on Bureau of Labor Statistics data for a broader job group.
High school diploma, about 1 year after high school. High school diploma or associate; coding knowledge helps.
Ways in: On-the-job training, Certification. Training cost: Get paid while you train.
Majors to look at: Health Information Management, Business.
Growing slowly. Declining as claims become automated.
High risk for 10 years. Automated claim systems already decide most routine claims; examiners handle appeals and fraud flags, with big cuts likely.
Age 18+. One way to start: Apply for claims processor jobs at health insurers; they train new hires
Classes: Computer applications, Business, Algebra II.
Official data: O*NET occupation 13-1031.
Career Universe is an early version. Pay, training and AI-risk figures are estimates to start your own research, not verified facts. The research was written with AI research assistants, checked by validation scripts and spot-checked by hand. Check anything important with schools, employers and official sources. How the numbers work.